| NPI | 1326735911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 77437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 198356) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-04-03 |