| NPI | 1265670160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 210533) |
| 171M00000X Case Manager/Care Coordinator (Licence: NC 210533) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2022-08-08 |