| NPI | 1164843355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18297) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 190139) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2022-03-18 |