| NPI | 1114451754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009667) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2024027949) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 2017002067) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-09-23 |