| NPI | 1801594932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11024730) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 500016507) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11024730) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DC 500016507) | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2025-06-04 |