| NPI | 1699217208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5009223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009223) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5009223) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5009223) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2021-10-05 |