| NPI | 1346349784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335193) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN288073) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-02-28 |