| NPI | 1568982940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R201227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R201227) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-10-17 |