| NPI | 1619157757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024168880) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 481265866) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP008922) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2023-02-19 |