| NPI | 1649599044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 3352422) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3352422) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL aprn3352422) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 3352422) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2023-04-14 |