| NPI | 1134245343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 075746) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 900278) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 102293) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-03-07 |