| NPI | 1750020871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61613673) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11032310) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R213907) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-07-28 |