| NPI | 1366740979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9189895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9189895) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP-9189895) | |
| Enumeration Date | 2011-03-06 |
| Last Update Date | 2025-03-10 |