| NPI | 1942607759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 039552-23)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 039552-23)  | 
| Enumeration Date | 2014-11-21 | 
| Last Update Date | 2024-08-20 |