| NPI | 1992944847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R209991) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC NP1031572) |
| 363LF0000X Nurse Practitioner Family (Licence: DC NP1031572) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R209991) | |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2023-11-07 |