| NPI | 1720694029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 876648) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2021-03-21 |