| NPI | 1073240032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11019096) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL F03220698) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11019096) | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-11-14 |