| NPI | 1013412972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5016315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 21680) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-07-10 |