| NPI | 1699150953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 2971515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9271515) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2023-02-01 |