| NPI | 1952918641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA C160787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA C160787) |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2024-08-13 |