| NPI | 1306201041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9533348) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100604) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL F07210366) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2021-08-27 |