| NPI | 1316288699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R133232) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN64224) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R133232) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-06-25 |