| NPI | 1609175033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9329086) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2021-05-05 |