| NPI | 1467971416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R866891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R866891) |
| 363L00000X Nurse Practitioner (Licence: MS R866891) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2021-04-28 |