| NPI | 1952347734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 048877-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 048877-23-05) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2021-03-18 |