| NPI | 1447629407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015034678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 154681) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018021089) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2020-11-19 |