| NPI | 1467959023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 66689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-78118) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-07-22 |