NPI | 1841841624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G185358) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A156607) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2025-10-05 |