| NPI | 1629049929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 096721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 096721) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 44870) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2021-06-28 |