| NPI | 1558775023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP09293) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS R878930) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: LA AP09293) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-10-04 |