| NPI | 1932457207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11024747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9415868) |
| 164W00000X Licensed Practical Nurse (Licence: NY 278842) | |
| 164W00000X Licensed Practical Nurse (Licence: GA LPN074839) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2023-02-22 |