| NPI | 1457664104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005517) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9486111) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9486111) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005680) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010481) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2024-03-28 |