| NPI | 1194413518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11025941) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9466051) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |