| NPI | 1811633845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11029121) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 220223) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022017504) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-06-26 |