| NPI | 1285922369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 111257) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 111257) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111257) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111257) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2020-11-24 |