| NPI | 1700223609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5006213) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5006213) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5006213) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2018-08-30 |