| NPI | 1609899657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 900371) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 113511) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900371) | |
| 363L00000X Nurse Practitioner (Licence: NC 900371) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-06-06 |