| NPI | 1093138083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9235724) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9235724) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9235724) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2026-01-20 |