| NPI | 1952724080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9285990) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9285990) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024186098) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2025-02-11 |