| NPI | 1093448128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017583) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: MA NA) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-02-08 |