| NPI | 1275819617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5005394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5005394) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-06-08 |