| NPI | 1669647533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9250898) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL APRN9250898) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2023-02-11 |