| NPI | 1750603130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 1750603130) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 2025070556) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2026-03-12 |