| NPI | 1497335699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11505111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 11005111) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11005111) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-01-24 |