| NPI | 1154862746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20663) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20663) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2023-12-20 |