| NPI | 1427380351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN290022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2900922) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL 2900922) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2021-02-24 |