| NPI | 1538874417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: UT 10835145-3102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: UT 00000000) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-19 |