| NPI | 1063953552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5017811) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE LG-0001009) |
| 363LF0000X Nurse Practitioner Family (Licence: MD AC001977) | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-10-25 |