| NPI | 1649010711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R263415) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114355) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 114355) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R263415) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-07-27 |