| NPI | 1043703887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G128555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 128555) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-11 |