| NPI | 1386072932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 128270) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 128270) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC128270) | |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2023-12-04 |