| NPI | 1548207335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3253512) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN3253512) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36846) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193084) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001341891) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2025-10-27 |