| NPI | 1295368553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012940) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2023084762) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012940) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012940) | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2024-09-26 |