| NPI | 1245863562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11006926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9452880) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11006926) | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2023-07-10 |