| NPI | 1396415113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021027654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006036960) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-09-24 |