| NPI | 1518703073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 2761779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 49906) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-11-22 |