| NPI | 1841662392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9259112) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL RN9259112) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2023-02-09 |