| NPI | 1780278465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6021209-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 60212093102) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2023-03-09 |