| NPI | 1386262046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 195702) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT 27210) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-10-23 |