| NPI | 1588195754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9252646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9252646) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9252646) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-01-26 |