| NPI | 1649787623 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9324660) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9324660) | 
| Enumeration Date | 2017-12-29 | 
| Last Update Date | 2025-09-11 |