| NPI | 1295001600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A003999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R69841) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A003999) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-06-06 |