| NPI | 1104570886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 278708) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-04-10 |