| NPI | 1336562982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 18661) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18661) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 18661) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2025-01-23 |