| NPI | 1255713624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R900592) |
| 163W00000X Registered Nurse (Licence: NC 352190) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2024-11-15 |