| NPI | 1093983462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP01360) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM R57182) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2024-05-29 |