| NPI | 1386299733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2506511) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03568) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G182730) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03032) | |
| 163W00000X Registered Nurse (Licence: FL RN9362138) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A182694) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037308) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2025-11-17 |