| NPI | 1396221479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 51840) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95144485) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021620) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2024-02-20 |