| NPI | 1396383501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903698) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903698) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-19 |