| NPI | 1316156391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R208320) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD r208320) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179218) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD r208320) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-08-15 |