| NPI | 1821514035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R246628) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024182504) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402214) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-04-27 |