| NPI | 1659336634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2874472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2874472) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-05-11 |