| NPI | 1174137061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G160805) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IA 118238) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-05-28 |