| NPI | 1467101261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 085067-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 085067-21) |
| 363L00000X Nurse Practitioner (Licence: NH 085067-23) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2023-08-02 |