| NPI | 1871174441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023000886) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018025800) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-01-11 |