| NPI | 1881262368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013938) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11013938) |
| 163W00000X Registered Nurse (Licence: FL rn9389615) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2026-03-04 |