| NPI | 1245631829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R186186) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R186186) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R186186) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-11-30 |