| NPI | 1760510069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R129855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 64145) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2025-02-11 |