| NPI | 1598244667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9315391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9315391) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2362335) | |
| 163WC0400X Registered Nurse, Case Management (Licence: FL ARNP9315391) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10431) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-04-25 |