| NPI | 1679743652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 1325442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 1325442) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP125867) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2017-01-31 |