| NPI | 1164414520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 3301) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201429) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201429) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2023-03-23 |