| NPI | 1639770340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11007648) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11007648) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11007648) | |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2025-04-11 |