| NPI | 1194101675 |
|---|---|
| Former Name | TRINITY PANCAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9332727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9332727) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2026-06-01 |