| NPI | 1932122587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R55270) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP04271) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R55270) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-09-16 |