| NPI | 1710698873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27891) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 240887) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27891) | |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2024-07-10 |