| NPI | 1720896020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-181638) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408045) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 908097) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11041444) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2026-06-25 |