| NPI | 1750980124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R40527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F08200113) |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2022-03-31 |