| NPI | 1609394089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 323027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-146927) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-146927) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-08-01 |