| NPI | 1720242423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9291278) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9291278) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2015-11-04 |