| NPI | 1609532910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G181715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A166044) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-11-08 |