| NPI | 1356434955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22932) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 22932) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY F4005051) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-04-19 |