| NPI | 1356743181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R185738) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R185738) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R185738) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2022-06-10 |