| NPI | 1548539588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9275188) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9275188) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2025-04-01 |