| NPI | 1265881759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 006538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 006538) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CT 006538) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-08-30 |