| NPI | 1548515182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R117610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN962963) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN962963) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F334596-01) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R117610) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2025-12-19 |