| NPI | 1669916201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 66287) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 66287) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2023-10-10 |