| NPI | 1326253774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5002801) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 005002801) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5002801) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2018-05-02 |