| NPI | 1629456330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008350) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 251548) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 251548) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5008350) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2025-03-24 |