| NPI | 1356933113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI APRN-3134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225989-30) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-06-17 |