| NPI | 1992289045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP10001) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: LA AP10001) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-06-01 |