| NPI | 1518396084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006512) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-04-09 |