| NPI | 1568116986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2022138177) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 11015959) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015959) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2023-02-15 |