| NPI | 1205593605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016270) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC NQLZ3AZ0) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC BOHA-ZBN58) | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2022-08-07 |