| NPI | 1992321962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015959) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 23271) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2022-06-09 |