| NPI | 1821619370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR 123726) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 123726) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AR 123726) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-08-04 |