| NPI | 1386903425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN9434194) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL APRN9434194) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9434194) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704411492) | |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2025-05-15 |