| NPI | 1689950040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R686611) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R68661) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2024-02-14 |