| NPI | 1154885929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11000703) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 309035) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11000703) | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2023-10-20 |