| NPI | 1750153045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020944) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 289037) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 289037) | |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-10-17 |