| NPI | 1316312655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9458040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9458040) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4306) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9458040) | |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2024-10-18 |