| NPI | 1184011918 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 051986-23)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 051986-23)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 051986-23)  | |
| Enumeration Date | 2015-04-20 | 
| Last Update Date | 2022-02-21 |