| NPI | 1629454251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9423749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9423749) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2022-11-02 |