| NPI | 1225305485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9288068) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN9288068) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9288068) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2024-06-22 |