| NPI | 1013562545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-159559) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-159559) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2022-11-18 |