| NPI | 1417483439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018992) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DE 0012230) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-10-19 |