| NPI | 1356886949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-140820) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AL 1-140820) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2021-12-15 |