| NPI | 1376293308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 229032) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11017323) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 1376293308) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-02-16 |