| NPI | 1497071153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 179114) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5004707) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2022-04-14 |