| NPI | 1760069736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012325) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 1101230025) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2025-05-02 |