| NPI | 1659680726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007333) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178556) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11032486) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178556) | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2025-07-09 |