| NPI | 1568455863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN2891552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2891552) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2022-03-21 |