| NPI | 1902381445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9274318) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9274318) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9274318) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2025-10-31 |