| NPI | 1770038093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9208450) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9208450) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1080000) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9208450) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1080000) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024191696) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2025-02-28 |