| NPI | 1457642654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 063403-23) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 063403-21) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2021-04-23 |