| NPI | 1124766076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 73673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 39982) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ID 39982) | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-08-02 |