| NPI | 1700404811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 2162) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-03-14 |