| NPI | 1629445705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3009673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IN 71008453A) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3009673) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2024-02-06 |