| NPI | 1710419627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9338750) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9338750) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9338750) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-05-10 |