| NPI | 1013913805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-090016) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1090016) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9176788) | |
| Enumeration Date | 2005-06-26 |
| Last Update Date | 2024-02-01 |