| NPI | 1548778533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD F03180352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R186951) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 2023205604) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2024-04-17 |