| NPI | 1912291451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NE 11727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 44818) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-08-23 |