| NPI | 1609234871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016001341) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016001341) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2004031314) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2026-03-10 |