| NPI | 1366064115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11034783) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse (Licence: FL RN9562909) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-10-03 |