| NPI | 1619264058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP2951752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 2951752) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2019-01-31 |