| NPI | 1750882841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R212180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1034535) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-12-26 |