| NPI | 1366809550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 2891272) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL NP2891272) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2019-11-17 |