| NPI | 1093713505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 202588) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 202588) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 537618) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201508867NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 537618) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX 537618) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-12-14 |