| NPI | 1548602063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9274128) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9274128) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9274128) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-06-17 |