| NPI | 1144739533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 222920) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1035743) |
| 163W00000X Registered Nurse (Licence: GA RN222920) | |
| 163W00000X Registered Nurse (Licence: CA 95041728) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA 222920) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-02-18 |