| NPI | 1780150201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0994066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994066) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO F07181080) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-11-28 |