| NPI | 1295221158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9345207) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9345207) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9345207) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-10-11 |