| NPI | 1790064046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 2023207276) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9284238) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP 9284238) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2024-01-19 |