| NPI | 1316474315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R209746) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD R209746) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-03-29 |