| NPI | 1861776346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC006569) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD AC006568) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2024-08-28 |