| NPI | 1780157115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202105081) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP95010525) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-04-18 |