| NPI | 1164192175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 234287) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-01-18 |