| NPI | 1245233964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 23159-1931) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: LA 23159-1931) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2023-03-07 |