| NPI | 1710408885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R195045) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R195045) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MD R195045) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R195045) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-01-27 |