| NPI | 1740966035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 4405) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: TX 836308) |
| 163WX0106X Registered Nurse, Occupational Health (Licence: HI 87688) | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-03-08 |