| NPI | 1083223879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024182772) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024182772) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013364) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01362400) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5013364) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-03-27 |