| NPI | 1992257232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010155) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6786) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 6786) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2023-08-31 |