| NPI | 1518481191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9358682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9358682) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2023-03-31 |