| NPI | 1679071542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21667) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5013942) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013942) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21669) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2025-03-27 |