| NPI | 1144789884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11001816) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11001816) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2026039079) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2026-08-21 |