| NPI | 1285711549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R210043) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD R210043) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 186997) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 186997) | |
| 364S00000X Clinical Nurse Specialist (Licence: DC 1032917) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC 1032917) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-08-16 |