| NPI | 1760527741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11018511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R851045) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11018511) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS R851045) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-03-30 |