| NPI | 1154043610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 4YP5D8MI) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-02-26 |