| NPI | 1669647145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 61737) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3390-033) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 3390-033) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2024-02-03 |