| NPI | 1164498838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G-085156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A085156) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G085156) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-10-27 |