| NPI | 1386193183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901783) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 901783) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2023-09-25 |