| NPI | 1144330457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110806) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110806) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 110806) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-05-02 |