| NPI | 1639879042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SD CP003008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R043731) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-01-30 |