| NPI | 1952077224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016653) |
| 163W00000X Registered Nurse (Licence: TN 238495) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-11-15 |