| NPI | 1477811800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R207370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R207370) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1031030) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-09-23 |