| NPI | 1609108257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017008) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017008) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5017008) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2025-08-01 |