| NPI | 1730293747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC APN.2291) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN163734) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100631) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-05-02 |