| NPI | 1568868099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 810627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS A810627) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18326) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9411328) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2024-02-09 |