| NPI | 1689067506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 44905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 33419) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2023-05-02 |