| NPI | 1174954440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010541) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 1653) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2023-11-27 |