| NPI | 1487903605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9171943) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9171943) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP9171943) | |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2021-03-08 |