| NPI | 1689199341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 186530) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MT 71336) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-08-16 |