| NPI | 1144964586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-100795) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-100795) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-10-16 |