| NPI | 1295216190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP11701) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP11701) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP11701) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP11701) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2025-03-13 |