| NPI | 1811303829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09945) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09945) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000732) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-01-21 |