| NPI | 1396224085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R157987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R157987) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-12-20 |