| NPI | 1639718455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903630) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004972) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MS 903630) | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2023-11-17 |