| NPI | 1407259476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9183538) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9183538) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9183538) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-05-12 |