| NPI | 1962861567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9288674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9288674) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN831452) | |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-06-21 |