| NPI | 1942508999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2017008665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01516 anp) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2020-07-23 |