| NPI | 1467905992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09915-RN159953) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN159953) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298220) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2024-04-12 |