| NPI | 1952717415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9206838) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9206838) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9206838) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9206838) | |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2023-06-16 |