| NPI | 1447857925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 24335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 102039) |
| 363LF0000X Nurse Practitioner Family (Licence: SC 24335) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-01-26 |