| NPI | 1700881026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 07475223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 074752-23) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9218239) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-09-10 |