| NPI | 1376810895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1180707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022365) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN327547) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN253366) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 353977) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP022270) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2025-10-13 |