| NPI | 1881242337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012271) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 266530) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2021-04-07 |