| NPI | 1386162691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017025611) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2017025611) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2017025611) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-03-11 |