| NPI | 1033885207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA 226963) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: LA 226963) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 93323) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2022-09-20 |