| NPI | 1033714167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G169036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A161548) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2022-05-31 |