| NPI | 1184683872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9449917) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: WI B1681445) |
| 163WC0400X Registered Nurse, Case Management (Licence: WI 144932-030) | |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 144932-030) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6777) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2023-06-23 |