| NPI | 1811496631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 21587) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189346) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2024-09-18 |