| NPI | 1881095503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA A142560) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 63570) |
| 363L00000X Nurse Practitioner (Licence: NE 111760) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-11-29 |