| NPI | 1841578036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11017606) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3415502) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R 217553-5) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2026-01-15 |