| NPI | 1093113474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R183855) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R183855) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R183855) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2022-02-10 |