| NPI | 1710252234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9464978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 9464978) |
| 163W00000X Registered Nurse (Licence: TN 170984) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 16095) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9464978) | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2022-02-28 |