| NPI | 1730753989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 223563) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403963) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61358864) | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-05-22 |