| NPI | 1679250484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R211528) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R211528) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-01-23 |