| NPI | 1346505674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP06879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 110594-6879) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2025-10-20 |