| NPI | 1932854726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11018191) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404841) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029716) | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-05-13 |