| NPI | 1720433964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R209455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1040481) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2024-02-14 |