| NPI | 1346868072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R172621) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DC RN1015750) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1015750) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-04-15 |