| NPI | 1720581002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R203066) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R203066) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R203066) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-02-12 |