| NPI | 1568194124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016420) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 5016420) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016420) | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-08-10 |