| NPI | 1922683358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-97583) |
| 163W00000X Registered Nurse (Licence: GA RN186554) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2022-08-10 |