| NPI | 1194250134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11035356) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9372710) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2025-12-26 |