| NPI | 1386203818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 | 2023-04-19 |