| NPI | 1134257629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS R861268) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 861268) |
| 363LF0000X Nurse Practitioner Family (Licence: MS R861268) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-08-28 |