| NPI | 1669033825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019023522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010027075) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-12-04 |