| NPI | 1992271134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9391589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN9391589) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9391589) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-04-03 |