| NPI | 1194268789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9349126) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9349126) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA RN793913) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-08-26 |