| NPI | 1831835800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1677126) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-08-07 |