| NPI | 1215187588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-100457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 100457) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2024-03-18 |