| NPI | 1497259394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9284010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9284010) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL APRN9284010) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2022-07-28 |