| NPI | 1235707696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012696) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9285818) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-12-07 |