| NPI | 1578638755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010547) |
| 363L00000X Nurse Practitioner (Licence: NY 335403) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2024-03-06 |