| NPI | 1306430475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R160382) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R160382) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R160382) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-10-28 |