| NPI | 1619530326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-101992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-101992) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-08-19 |