| NPI | 1871022897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R170057) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP017535) |
| 363L00000X Nurse Practitioner (Licence: PA SP017535) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R170057) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2021-04-19 |