| NPI | 1386155018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5017022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 674688) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: NC 269427) | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2024-03-20 |