| NPI | 1134852817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022002430) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 221292) |
| 163W00000X Registered Nurse (Licence: MO 2016026844) | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-04-21 |