| NPI | 1457002990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 71737) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: ID 2021185711) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 49743) | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-08-26 |