| NPI | 1861975575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9268131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9268131) |
| 163W00000X Registered Nurse (Licence: FL 9268131) | |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2025-05-19 |