| NPI | 1669848925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD 2021103017) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP000963) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2024-08-05 |