| NPI | 1851979181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R213043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R213043) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R213043) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-05-14 |