| NPI | 1255933057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038598) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCMS101109) |
| 163W00000X Registered Nurse (Licence: FL RN9610723) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL F02250543) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2025-04-02 |