| NPI | 1629890439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11036252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2024084279) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-02-24 |