| NPI | 1629636766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95068550) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024180101) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012063) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024180101) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95012063) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-07-30 |