| NPI | 1922283019 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9192833) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9192833) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9192833) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 907771) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 14213619-4405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 907771) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14213619-4405) | |
| Enumeration Date | 2008-01-08 | 
| Last Update Date | 2025-09-17 |