| NPI | 1326458019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113507) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NE 75546) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NE 113507) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2025-09-05 |