| NPI | 1437622776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 60441) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 60441) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-01-01 |