| NPI | 1932566742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 892403) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2021-11-29 |