| NPI | 1093160301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011204) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704284752) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28228632A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011204) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2023-10-18 |