| NPI | 1346331568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0050-00532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0050-00532) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-00532) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-04-16 |