| NPI | 1639795859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 24906) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24906) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 24906) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2025-03-06 |