| NPI | 1073143756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016037) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016037) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 26911) | |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-02-07 |