| NPI | 1770605586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 1087) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 7022) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 1087) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 7022) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-07-14 |