| NPI | 1770999294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R150958) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R150958) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R150958) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R150958) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: MD R150958) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2025-08-04 |