| NPI | 1508497942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012927) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 255101) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 5012927) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012927) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-09-09 |