| NPI | 1902612989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11036776) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: FL RN9452806) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-12 |