| NPI | 1932745973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP026936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA 0278199) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-02-27 |