| NPI | 1316467616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A005972) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005972) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A005972) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A005972) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2025-02-13 |