| NPI | 1033659412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 202409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 202409) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2024-06-25 |