| NPI | 1598214736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11045565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9372335) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2026-02-24 |