| NPI | 1407980568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9214558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9214558) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP8361) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-11-05 |