| NPI | 1053835652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21192) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: SC 75918r) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 75918r) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2021-06-15 |