| NPI | 1730639295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11014022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9384218) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403528) | |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2021-10-06 |