| NPI | 1902526353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC APN.RX26624) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC RN.263277TL) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-05-08 |