| NPI | 1336544022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11144) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 833234) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2024-01-19 |