| NPI | 1619337367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08697) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08697) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2025-05-18 |