| NPI | 1780086710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014036) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 228772) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2022-09-12 |