| NPI | 1780423343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95392476) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83182-052) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 302005) | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-12-06 |