| NPI | 1063975761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R203267) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R203267) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-12-23 |