| NPI | 1649429648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9281581) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 001358) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990290-Np) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-07-31 |