| NPI | 1083441018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 907021) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MS 910047) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS 910047) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MS 910047) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS 910047) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MS 910047) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-11-06 |