| NPI | 1447642335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 878321) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 878321) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R878321) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2025-01-03 |