| NPI | 1376913095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11035490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3245582) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2024-09-27 |