| NPI | 1306027941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R270003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R270003) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2578842) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2026-09-23 |