| NPI | 1063029759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11008446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11008446) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11008446) | |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2025-09-26 |