| NPI | 1497241103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2023002988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9319038) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-06-10 |