| NPI | 1649745969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R201730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R201730) |
| 163W00000X Registered Nurse (Licence: DC RN1046033) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2024-08-09 |