| NPI | 1689813305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9329067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000013916) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9329067) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2024-03-28 |