| NPI | 1689800906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R056506) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R056506) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R056506) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2021-01-07 |