| NPI | 1811425937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 54461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 147339) |
| 163W00000X Registered Nurse (Licence: NY 571270) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G147339) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-02-06 |