| NPI | 1457991051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 860243) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903637) | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |