| NPI | 1477014587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11010127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9312665) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-05-23 |