| NPI | 1801262712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA gaa-np2688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0040439) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001782) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN455) | |
| 363L00000X Nurse Practitioner (Licence: DE LG-0000879) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2025-10-28 |