| NPI | 1366987299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 162668) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL ARNP9344822) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9344822) | |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2020-07-28 |