| NPI | 1982338588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020211) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9212501) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11020895) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2024-11-04 |