| NPI | 1932724556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2017039599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005007608) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017039599) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-04-23 |