| NPI | 1417205949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9200809) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014513) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170958) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001508) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 18099) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2025-12-02 |