| NPI | 1699370247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 229054) |
| 363L00000X Nurse Practitioner (Licence: NC 5013829) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-10-13 |