| NPI | 1417380700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP-03186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-83568) |
| 363L00000X Nurse Practitioner (Licence: NM CNP-03186) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NM CNP03186) | |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2022-04-27 |