| NPI | 1194311308 |
|---|---|
| Professional Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R205347) |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2023-03-29 |