| NPI | 1881231785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G171162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 135894) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-09-28 |