| NPI | 1891276648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2024035797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2017017764) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2024-08-31 |