| NPI | 1891263463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017112) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.023855) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 847075) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023855) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 847075) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023855) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5017112) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2024-02-18 |