| NPI | 1790735736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009513) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN8135) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN8135) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-01-06 |