| NPI | 1194248443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9428254) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL 9428254) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2021-11-29 |