| NPI | 1841824232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 905108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 902395) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2024-03-19 |