| NPI | 1740700632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G161676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 142247) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |