| NPI | 1932813086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 33196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2330499) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 236533) | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-06-12 |