| NPI | 1326409988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 61040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 601040) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2019-10-03 |