| NPI | 1386230449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020033726) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2020033726) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020033726) | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2024-08-23 |