| NPI | 1316573173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007178) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406170) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1081153) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO CAPN0003970) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2026-03-04 |