| NPI | 1144573346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R200531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R200531) |
| 164X00000X Licensed Vocational Nurse (Licence: DC 90354) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2024-02-05 |