| NPI | 1770034746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15482) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 168382) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6791) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 15266) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2024-10-09 |