| NPI | 1245838945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1034376) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DC 1034376) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2021-09-22 |