| NPI | 1659471134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP1127872) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28124266A) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK R 19422) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 576) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2016-09-01 |