| NPI | 1255578282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 033069-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 61190) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5004994) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2011-02-13 |