| NPI | 1083433965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP002367) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1205034) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 906540) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10000064) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1205034) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 906540) | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2025-07-09 |