| NPI | 1932610367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 3-001771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001771) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 23085) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-08-26 |