| NPI | 1316504301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R185828) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R185828) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R185828) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2020-03-24 |