| NPI | 1124557327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R190374) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R190374) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1016294) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2021-11-24 |