| NPI | 1013455898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R210277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1033206) |
| 163W00000X Registered Nurse (Licence: MD R210277) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-08-16 |