| NPI | 1427792548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 221353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R099582) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-08-22 |