| NPI | 1568938488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9334235) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2025-03-14 |