| NPI | 1366574782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R20251) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: ND R20251) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-10-25 |