| NPI | 1891387163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 12369693-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 66272) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12369693-4405) | |
| 363L00000X Nurse Practitioner (Licence: OR 202204361NP-PP) | |
| 363L00000X Nurse Practitioner (Licence: ID 66272) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ID 66272) | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2023-04-19 |