| NPI | 1831707488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R166523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R166523) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179570) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-05-14 |