| NPI | 1033641089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-2748) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD T20170350) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002051) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-02-22 |