| NPI | 1891294831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9358129) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9358129) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9358129) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9358129) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2020-09-14 |