| NPI | 1114623030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017794) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC LEVI-Y9K2U) |
| 163W00000X Registered Nurse (Licence: NC 294960) | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-07-18 |