| NPI | 1376982850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9288496) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN255639) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 301115) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME cnp171023) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-09-25 |