| NPI | 1043797095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 218481) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MS 902731) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS 902731) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2023-04-27 |