| NPI | 1982861589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110938) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NE 46535) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 110938) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110938) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2025-06-30 |