| NPI | 1386197507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP-03013) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN114940) |
| 363LF0000X Nurse Practitioner Family (Licence: NM CNP-03013) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NM CNP-03013) | |
| 363LF0000X Nurse Practitioner Family (Licence: GA RN114940) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-02-05 |