| NPI | 1194183475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 189359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 189359) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 721547) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 346043) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704288831) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2024-02-09 |