| NPI | 1174890735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R168764) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r168764) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD R168764) | |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2023-01-27 |