| NPI | 1245765841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 225614) |
| 363L00000X Nurse Practitioner (Licence: SC 211071) | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-03-19 |