| NPI | 1275690315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 3866) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R859008) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2023-01-03 |