| NPI | 1417679176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022123) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL RN9392948) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-09-10 |