| NPI | 1942651005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901493) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS 901493) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 901493) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP08972) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 901493) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP08972) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 901493) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2025-03-14 |