| NPI | 1366684979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2680462) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4009700) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1183108) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2025-12-12 |