| NPI | 1396327409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11013792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9369290) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-01-02 |