| NPI | 1770022600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9183074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9183074) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9183074) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9183074) | |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2020-03-17 |