| NPI | 1891493730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11002521) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9431961) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-10-25 |