| NPI | 1336568427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23053) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: SC 23053) |
| 251E00000X Home Health (Licence: SC 97284) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2026-01-29 |