| NPI | 1780026104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9169819) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9169819) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2021-07-15 |