| NPI | 1669628996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 600081) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 600081) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 600081) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 600081) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2009-09-09 |