| NPI | 1932745973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026936) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11038831) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA 0278199) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704287524) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021447) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2026-05-06 |