| NPI | 1801364377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9201466) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC BURK-AZJWST) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2022-02-02 |