| NPI | 1679850044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP02817) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 17616) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM cnp02817) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02817) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP02817) | |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2024-12-22 |