| NPI | 1588981757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015970) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 4171) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015970) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2024-03-06 |