| NPI | 1205587284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R239396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R239396) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MD R239396) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R239396) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |