| NPI | 1740890698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 3-000648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 3-000648) |
| 363LF0000X Nurse Practitioner Family (Licence: MS PARK-7YUYD4) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-12-09 |