| NPI | 1124505714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 007683) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 007683) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CT 007683) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CT 007683) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-09-14 |