| NPI | 1164129979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 086301-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2301576) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-08-08 |