| NPI | 1376084780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023008467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017006973) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-02-27 |