| NPI | 1194168724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9432788) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 23657) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9432788) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9432788) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23657) | |
| 163W00000X Registered Nurse (Licence: FL 9432788) | |
| 163W00000X Registered Nurse (Licence: CA 740199) | |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2024-05-06 |