| NPI | 1538847140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11128503-8900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 63803) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-21 |