| NPI | 1356018881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-177805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-177805) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 214440) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2024-11-12 |