| NPI | 1609323955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9246962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9246962) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9246962) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9246962) | |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2023-10-16 |