| NPI | 1336763176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5013368) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 217208) |
| 363L00000X Nurse Practitioner (Licence: NC 5013368) | |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2023-09-05 |