| NPI | 1508879800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 070424-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA UP003412B) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-02-15 |