| NPI | 1871030841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9391797) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9391797) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: FL 9391797) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN9391797) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2023-01-24 |