| NPI | 1851791651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9198049) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN9198049) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2023-05-10 |