| NPI | 1811999378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2026462) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ARNP 2026462) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2019-12-23 |