| NPI | 1578911368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM CNP-03038) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP-03038) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-03-07 |