| NPI | 1821438169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11006957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA TAP003126) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP07504) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2024-07-10 |