| NPI | 1134435167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G184427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R197354-7) |
| 363L00000X Nurse Practitioner (Licence: MN 156) | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2025-08-22 |