| NPI | 1568158392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190081) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9166279) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP231193) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11025655) | |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2024-08-13 |