| NPI | 1558646786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 348998) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111309) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2024-09-24 |