| NPI | 1124258629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 138072) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2011-08-02 |