| NPI | 1336649649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9331613) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9331613) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 149817) | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2024-03-11 |