| NPI | 1598347593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 75181) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: ID 45830) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-02-06 |