| NPI | 1053837740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FM 4704336597) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704336597) |
| 163W00000X Registered Nurse (Licence: TN 0000217528) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-12-26 |