| NPI | 1235414145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 851239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 851239) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R851239) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2023-10-09 |