| NPI | 1578892956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APN 05937) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA APN05937) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2025-05-29 |