| NPI | 1780310458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 287587) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10002446) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-01-12 |