| NPI | 1437799582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R137490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 137490) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2022-09-16 |