| NPI | 1013300383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5007496) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: NC 5007496) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5007496) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: NC 5007496) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5007496) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NC 5007496) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-11-28 |