| NPI | 1649928995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019158) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NC 224060) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2023-12-14 |