| NPI | 1497179592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9268689) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9268689) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019342) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-10-02 |