| NPI | 1033882691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014855) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 234203) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 26295) | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2023-02-11 |