| NPI | 1801312053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R193343) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R193343) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC NP1028737) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R193343) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1028737) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2024-05-13 |