| NPI | 1760909592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11003717) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 22997) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024191611) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2025-02-12 |