| NPI | 1952853731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09119) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09119) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2022-12-12 |