| NPI | 1255712956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP037245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP014876) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-06-06 |