| NPI | 1710725973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 81682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 11851) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 81682) | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-11-18 |