| NPI | 1730842568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-164257) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-164257) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-09-26 |