| NPI | 1982306098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC kiru-u0ey4) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 308886) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-11-13 |