| NPI | 1629632898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001772) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001772) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1100172) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2021-12-15 |