| NPI | 1740829845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 66037) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-02-20 |