| NPI | 1699020263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN89347) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP893472) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2023-04-07 |