| NPI | 1548892052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27140) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NC King-38HJC) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012801) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-01-09 |