| NPI | 1427069418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R125193) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169744) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 15682) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R125193) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-03-25 |