| NPI | 1649562950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9281775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001340376) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024194634) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2025-09-22 |