| NPI | 1235552548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA AP07682) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP07682) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2024-09-24 |