| NPI | 1265786545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9199897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9199897) |
| 363L00000X Nurse Practitioner (Licence: FL A1012090) | |
| 363L00000X Nurse Practitioner (Licence: NY 545865-1) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2025-04-10 |