| NPI | 1164445953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 5982) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 5982) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-01-08 |