| NPI | 1154163418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11033836) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9490082) |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-11-23 |