| NPI | 1336973478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G181101) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H181102) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-12-17 |