| NPI | 1770031627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5009111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F06161846) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009111) | |
| 163W00000X Registered Nurse (Licence: NC 256299) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2021-08-13 |