| NPI | 1699891028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9294028) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-070054) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9294028) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-03-25 |