| NPI | 1124880943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F03240596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 200611) |
| 175T00000X Peer Specialist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC F03240596) | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-06-14 |