| NPI | 1689217572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11021999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9521889) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN9521889) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL 11021999) | |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2022-09-26 |