| NPI | 1801189659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 383596) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9247656) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: SC 17845) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2025-07-15 |