| NPI | 1689641052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 100277) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT RN19128) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-07-27 |