| NPI | 1528877750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021430) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 374755) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NC 374755) | |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-06 |