| NPI | 1821424227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03150) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN231734) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2017-03-20 |