| NPI | 1194225367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN9461716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9461716) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2023-11-01 |