| NPI | 1376584425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 906111) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 906111) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R857248) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-03-27 |