| NPI | 1538816616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 225431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 897729) |
| 163W00000X Registered Nurse (Licence: LA 145631) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-12-08 |