| NPI | 1699049460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R255624) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002684) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AR S02262) | |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2022-12-21 |