| NPI | 1265157531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 2022059159) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 2022059159) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2025-01-02 |