| NPI | 1225095649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2792562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2792562) |
| 363L00000X Nurse Practitioner (Licence: FL 2792562) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-01-17 |