| NPI | 1124889829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 234383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN157056) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-07-23 |