| NPI | 1609201623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9325187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9325187) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2018-02-01 |