| NPI | 1073070702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023010529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 897667) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904491) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-183314) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-04-25 |