| NPI | 1851682736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7567) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 100280) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201907687NP-PP) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2022-10-06 |