| NPI | 1770138000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 207575) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 207575) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: LA 207575) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2021-11-15 |