| NPI | 1205136363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G167077) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 471937) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A095667) | |
| Enumeration Date | 2010-10-23 |
| Last Update Date | 2024-03-04 |