| NPI | 1427332337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 24243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 305848) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305848) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-05-18 |