| NPI | 1861183022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 9645160-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9645160-3102) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-10-31 |