| NPI | 1073935409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001305635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND 201023) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9193778) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0001305635) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND 201023) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP919378) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2024-10-25 |