| NPI | 1457854515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1695) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: ID PA-1695) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2023-11-27 |