| NPI | 1023555620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 027361-23) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 027361-21) |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2019-02-18 |