| NPI | 1912443656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 172218) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2023-10-09 |