| NPI | 1164032553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008153) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: FL 11008153) |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL APRN11008153) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11008153) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2023064599) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11008153) | |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-12-01 |