| NPI | 1831401157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WG0000X Registered Nurse, General Practice (Licence: FL 946182) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2020-09-03 |