| NPI | 1134482615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R176612) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: DC RN1010504) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-01-11 |