| NPI | 1164823332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9468297) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9268297) |
| 163W00000X Registered Nurse (Licence: NH 056662-21) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-07-27 |