| NPI | 1356977623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 263179) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2022-10-19 |