| NPI | 1881064137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002867) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC002867) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP128344) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128344) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WV 106938) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2025-01-28 |