| NPI | 1326436254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R214716) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R214716) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2023-06-06 |