| NPI | 1316464266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902233) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902233) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09742) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09742) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2025-04-15 |