| NPI | 1194277947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 2022002530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 211684) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2023-09-18 |