| NPI | 1093758682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A01095) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R15892) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-01-18 |