| NPI | 1225768484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016705) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NC 244025) |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2022-11-12 |