| NPI | 1831730787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012294) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012294) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-03-26 |