NPI | 1972870178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 58107) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 864851) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP121132) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 864851) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121132) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 58107) | |
Enumeration Date | 2011-11-16 |
Last Update Date | 2023-07-13 |