| NPI | 1710605241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022049907) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022049907) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 224071) | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-09-17 |