| NPI | 1326072620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 748207) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS R748207) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 748207) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-10-27 |