| NPI | 1407311988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 12.008086) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 8086) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2024-02-05 |