| NPI | 1275110900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F03211268) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 2023166356) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2024-02-19 |