| NPI | 1386203818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11002790) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: FL 9348574) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN11002790) | |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2025-04-25 |