| NPI | 1316761166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2025053317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2021020302) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5383885061) | |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2026-05-04 |