| NPI | 1376630384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11029721) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 5205P) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 67306) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-02-05 |