| NPI | 1205546223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 076588-23) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NH 076588-21) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2320001) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2320001) | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-12-11 |