| NPI | 1316580467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 169073) |
| 363L00000X Nurse Practitioner (Licence: NC 5012434) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-03-16 |