| NPI | 1659699429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 33404) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010263) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9187076) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5010263) | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2024-03-27 |