| NPI | 1467815266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND R46933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND R46933) |
| 363LF0000X Nurse Practitioner Family (Licence: MN 7237) | |
| 363LF0000X Nurse Practitioner Family (Licence: SD CP001057) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-06-15 |