| NPI | 1467919365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009591) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1152616) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202105184NP-PP) | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2024-01-15 |