| NPI | 1376043034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014211) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9350944) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11014211) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-04-11 |