| NPI | 1265147003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018787) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NC 155605) |
| 163WA2000X Registered Nurse, Administrator (Licence: MI 4704206128) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1008379) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: DC RN1008379) | |
| 251B00000X Case Management (Licence: TX 155605) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5018787) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018787) | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-08-19 |