| NPI | 1417409046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-121760) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 1-121760) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2020-05-14 |