| NPI | 1255780003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 231093) |
| 163W00000X Registered Nurse (Licence: OH 419734) | |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2022-01-13 |