| NPI | 1154746352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-131062) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-131062) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10416) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-09-12 |