| NPI | 1831966308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 2023150880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN966950) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-02-20 |