| NPI | 1326718404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VI 0024182794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 280734) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-11-03 |