| NPI | 1922374057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 850484) |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MS r850484) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-03-30 |