| NPI | 1912682378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11026751) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11026751) |
| 207R00000X Internal Medicine (Licence: FL 11026751) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-06-11 |