| NPI | 1376265819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 77964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 814786) |
| 163W00000X Registered Nurse (Licence: CA RN95192614) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95021947) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-07-11 |