| NPI | 1386974400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009173) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 233997) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2023-07-28 |