| NPI | 1548989700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 905792) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: MS 892768) |
| 163W00000X Registered Nurse (Licence: MS 892768) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-02-10 |