| NPI | 1700429164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-151857) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-151857) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-151857) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2022-11-16 |