| NPI | 1790390326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G160765) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA 125412) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA 125412) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-23 |