| NPI | 1992282271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN231504) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MT NUR-RN-LIC-104926) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MT NUR-RRN-LIC-104926) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-09-13 |