| NPI | 1912042706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID NP-952A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 437314) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA 437314) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 437314) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-04-02 |