| NPI | 1437516614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 2258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F340098) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 2258) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-02-20 |