| NPI | 1548942212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2023126515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266186) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018689) | |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2024-10-07 |