| NPI | 1598365082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R220807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R220807) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-09-19 |