| NPI | 1487943486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1565) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1565) |
| 363L00000X Nurse Practitioner (Licence: LA AP06252) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-06-06 |