| NPI | 1588732275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201127) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201127) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201127) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-05-03 |