| NPI | 1952342909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5002035) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5002035) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02035) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166959) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-08-01 |