| NPI | 1528078615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 198403) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 198403) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 198403) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-06-25 |