| NPI | 1720428113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9191623) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9191623) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9191623) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-01-17 |