| NPI | 1851939839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005427) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL 2709061262) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2023207195) | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-06-27 |