| NPI | 1588321376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: AR 218468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R050147) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR 218468) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-12-20 |