| NPI | 1629686563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R246082) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R246082) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP2000487) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2026-02-11 |