| NPI | 1851769715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP3482226) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08505) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2005007532) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2018-04-30 |