| NPI | 1063921930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5011108) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NC FCL092234) |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2019-01-10 |