| NPI | 1881367837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 113210) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113210) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 113210) | |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-05-23 |