| NPI | 1891296315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11003470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP018293) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11003470) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-11-02 |