| NPI | 1710432315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9353810) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2022005875) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2022-06-03 |