| NPI | 1003463134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5021305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 230461) |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: NC 230461) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2025-02-25 |