| NPI | 1356937189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020042237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014039593) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11014460) | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-10-26 |