| NPI | 1699499384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 218965) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 218965) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2023000802) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2023000802) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR 218965) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023000802) | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-11-13 |