| NPI | 1508698523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: FL RN9503882) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11034901) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-22 |