NPI | 1225688914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R247992) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NV RN91367) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV RN91367) | |
363LC1500X Nurse Practitioner, Community Health (Licence: VA 0024192919) | |
Enumeration Date | 2019-09-16 |
Last Update Date | 2025-06-09 |