| NPI | 1477092906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023017843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016042432) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2024-08-15 |