| NPI | 1356303796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R104565) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD R104565) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-06-24 |