| NPI | 1558788281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 18724) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 18724) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2023-06-27 |