| NPI | 1205308376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11000714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 111000714) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019372) | |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2024-10-02 |