| NPI | 1679900484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11002445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010737) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2023-01-03 |