| NPI | 1679900484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405431) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11002445) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209010737) | |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2026-06-16 |