| NPI | 1184389934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G176925) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA G176925) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95023148) | |
| Enumeration Date | 2021-11-06 |
| Last Update Date | 2024-02-21 |