| NPI | 1326594045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 112095) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 112095) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-06-02 |