| NPI | 1578932133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9369478) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9369478) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2022-02-25 |