| NPI | 1700270659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9236294) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9236294) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-08-01 |