| NPI | 1902038821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18232) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9455780) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9455780) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2024-02-05 |