| NPI | 1922682004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014489) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9172708) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL RN9172708) | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-07-10 |