| NPI | 1508436817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0068895) |
| 163W00000X Registered Nurse (Licence: MD R204090) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010276) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-12-22 |