| NPI | 1629003272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A-106534) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IA A106534) |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: IA G106534) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-04-10 |