| NPI | 1750979373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11010984) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1101984) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL APRN1101984) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-02-06 |