| NPI | 1629476718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R218654) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: DC RN1022372) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2019-01-28 |