| NPI | 1740994482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R239297) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R239297) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-07-08 |