| NPI | 1285698563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 8408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 140000) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-01-23 |