| NPI | 1043547748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R875890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002464) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11002464) | |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2021-04-26 |