| NPI | 1831316264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9206412) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 823873) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 823873) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9206412) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 17236) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-06-11 |