| NPI | 1033524749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 5890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 200775-30) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-12-03 |