| NPI | 1114229051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11024533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024533) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP119547) | |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2025-05-02 |