| NPI | 1477188134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 5019) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 59019) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 5019) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 5019) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-11-28 |