| NPI | 1528595162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R149427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R149427) |
| 208600000X Surgery (Licence: MD R149427) | |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2024-07-21 |