| NPI | 1609417971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114556) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NE 64078) |
| 163WS0200X Registered Nurse, School (Licence: NE 64078) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-02-06 |