| NPI | 1174982250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11008927) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20023) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2021-05-12 |