| NPI | 1578093142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9354746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9354746) |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN9354746) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-08-05 |