| NPI | 1306124557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A167135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7675-33) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA A167135) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G178407) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2024-04-26 |