| NPI | 1538733548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 59381) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 59301) |
| 163WE0003X Registered Nurse, Emergency (Licence: NM 59381) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2026-02-16 |