| NPI | 1760853873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 20745) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 006098) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006098) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CT 006098) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-11-29 |