| NPI | 1457578999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9416924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024167304) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9416924) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024167304) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-10-13 |