| NPI | 1013466697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9344392) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9344392) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9344392) | |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2024-03-21 |