| NPI | 1093468522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 235428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN140948) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2024-09-03 |