| NPI | 1972873750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R214660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R214660) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2023-03-24 |