| NPI | 1235503277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR NP201902622NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8257) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2020-07-31 |