| NPI | 1164758603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R131054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN65222) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2024-01-12 |