| NPI | 1578988689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 33992) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171557) | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2025-02-17 |