| NPI | 1790351427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC GREE-159Z3) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 221763) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-09-14 |