| NPI | 1942683016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11032753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11032753) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71005570A) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71005570A) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-06-07 |