| NPI | 1053082339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015881) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 270509) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2022-10-20 |