| NPI | 1417688615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024015172) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MO 2020029888) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-04-27 |