| NPI | 1992072698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005785) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2050552) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2024-07-12 |