| NPI | 1700400140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11007373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9259282) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 11007373) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-06-27 |