| NPI | 1437402856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016023914) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022044304) |
| 163W00000X Registered Nurse (Licence: MO 151969) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-03-08 |