| NPI | 1386038024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111763) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111763) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111763) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2022-12-21 |