| NPI | 1316537756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11011170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN11011170) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2024-07-17 |