| NPI | 1487169678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 906511) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: LA 110298) |
| 363L00000X Nurse Practitioner (Licence: MS 906511) | |
| 363LF0000X Nurse Practitioner Family (Licence: LA 227548) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MS 906511) | |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2024-05-20 |