| NPI | 1962063552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL 9164066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9164066) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-02-22 |