| NPI | 1447909601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G167934) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2022004857) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2022004857) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-06-06 |