| NPI | 1184015919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA Rn126258) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA Rn 126258) | |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2022-09-16 |