| NPI | 1508318494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM CNP03387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9281197) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP-03387) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-03-07 |