| NPI | 1720850449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11033067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9568867) |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-05-30 |