| NPI | 1811654700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 282889) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 107067) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2023-07-03 |